Organization Active NPI

Chesapeake Square Chiropractic Inc.

  • Chiropractor
  • Portsmouth, VA
National Provider Identifier
1356369144
Registry record updated Aug 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104001334 Issued in VA
Legal business name
CHESAPEAKE SQUARE CHIROPRACTIC INC.
Practice address
3500 Queen St
Portsmouth, VA 23707-3238
Phone
(757) 399-7300
Fax
(757) 397-9370
NPI assigned
Jul 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Steven C Reuscher, D.C.
Title
Doctor/Owner
Phone
(757) 399-7300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 0104001334 VA Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 0104001333 VA

Addresses

Primary practice location

3500 Queen St
Portsmouth, VA 23707-3238

Mailing address

3500 Queen St
Portsmouth, VA 23707-3238
Phone (757) 399-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120307000247 VA Part B Supplier - Clinic/Group Practice 5294994455 Receives reassigned benefits from 1 practitioner
Practice locations: Williamsburg, VA; Portsmouth, VA

National Provider Directory

National Provider Directory

Locations

3500 Queen St
Portsmouth, VA 23707
Phone (757) 344-7300

5248 Olde Towne Rd
Ste 7
Williamsburg, VA 23188
Phone (757) 745-3838

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1356369144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 QUEEN ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237073238",
            "telephone_number": "757-399-7300",
            "fax_number": "757-397-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 QUEEN ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237073238",
            "telephone_number": "757-399-7300",
            "fax_number": "757-397-9370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESAPEAKE SQUARE CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "REUSCHER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "757-399-7300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001334",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001333",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.